Item Bank: Perry Maternal Child Nursing Care 5th edition
Objective: CH 01: 21st Century Maternity Nursing
1. Question Name: 0001 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
When providing care for a pregnant woman, the nurse should be aware that one of the mostfrequently
reported maternal medical risk factors is:
* A. Diabetes mellitus.
B. Mitral valve prolapse (MVP).
C. Chronic hypertension.
D. Anemia.
Correct Answer: A
Explanation/Rationale:
ANS: A
The most frequently reported maternal medical risk factors are diabetes and hypertension associated with
pregnancy. Both of these conditions are associated with maternal obesity. Thereare no studies that indicate
MVP is among the most frequently reported maternal risk factors.
Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequentlyreported
maternal medical risk factors. Although anemia is a concern in pregnancy, it is not one of the most
frequently reported maternal medical risk factors in pregnancy.
2. Question Name: 0002 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both
teamwork and communication with clinicians into her care delivery, The SBAR technique ofcommunication is
an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
A. Situation, baseline assessment, response
* B. Situation, background, assessment, recommendation
C. Subjective background, assessment, recommendation
D. Situation, background, anticipated recommendation
Correct Answer: B
Explanation/Rationale:
ANS: B
The situation, background, assessment, recommendation (SBAR) technique provides a specificframework for
communication among health care providers. Failure to communicate is one of the major reasons for errors
in health care. The SBAR technique has the potential to serve as a means to reduce errors.
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,3. Question Name: 0003 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
The role of the professional nurse caring for childbearing families has evolved to emphasize:
A. Providing care to patients directly at the bedside.
B. Primarily hospital care of maternity patients.
* C. Practice using an evidence-based approach.
D. Planning patient care to cover longer hospital stays.
Correct Answer: C
Explanation/Rationale:
ANS: C
Professional nurses are part of the team of health care providers who collaboratively care for patients
throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurse’s
tasks; however, it does not encompass the concept of the evolved professionalnurse. Throughout the
prenatal period, nurses care for women in clinics and physician’s offices and teach classes to help families
prepare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses
have been critically important in developingstrategies to improve the well-being of women and their infants
and have led the efforts to implement clinical practice guidelines using an evidence-based approach.
Maternity patients have experienced a decreased, rather than an increased, length of stay over the past 2
decades.
4. Question Name: 0004 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
A 23-year-old African-American woman is pregnant with her first child. Based on the statistics forinfant
mortality, which plan is most important for the nurse to implement?
A. Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a midwife.
* D. Explain to the woman the importance of keeping her prenatal care appointments.
Correct Answer: D
Explanation/Rationale:
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant
mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most
important action a nurse should take in this situation. The patient mayneed assistance from a social worker at
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, some time during her pregnancy, but a referral to a socialworker is not the most important aspect the nurse
should address at this time. If the woman has identifiable high-risk problems, her health care may need to be
provided by a physician.
However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising
the woman to see an obstetrician is not the most important aspect on which thenurse should focus at this
time, and it is not appropriate for a nurse to advise or manage the type of care a patient is to receive.
5. Question Name: 0005 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment ofa 21-year-old
Hispanic patient with limited English proficiency. It is important for the nurse to:
A. Use maternity jargon in order for the patient to become familiar with these terms.
B. Speak quickly and efficiently to expedite the visit.
C. Provide the patient with handouts.
* D. Assess whether the patient understands the discussion.
Correct Answer: D
Explanation/Rationale:
ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating
whether the patient understands the discussion. Speaking slowly and clearly and focusing on what is
important increase understanding. Most patient education materials are written at too high a level for the
average adult and may not be useful for a client with limitedEnglish proficiency.
6. Question Name: 0006 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
When managing health care for pregnant women at a prenatal clinic, the nurse should recognizethat the
most significant barrier to access to care is the pregnant woman’s:
A. Age.
B. Minority status.
C. Educational level.
* D. Inability to pay.
Correct Answer: D
Explanation/Rationale:
ANS: D
The most significant barrier to health care access is the inability to pay for services; this is compounded by
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, the fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients
statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity
and mortality rates exist for minority women; however, minority status is not the most significant barrier to
access of care. Disparities in educational level are associated with morbidity and mortality rates; however,
educational levelis not the most significant barrier to access of care.
7. Question Name: 0007 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
What is the primary role of practicing nurses in the research process?
A. Designing research studies
B. Collecting data for other researchers
* C. Identifying researchable problems
D. Seeking funding to support research studies
Correct Answer: C
Explanation/Rationale:
ANS: C
When problems are identified, research can be conducted properly. Research of health care issuesleads to
evidence-based practice guidelines. Designing research studies is only one factor of the research process. Data
collection is one factor of research. Financial support is necessary to conduct research, but it is not the primary
role of the nurse in the research process.
8. Question Name: 0008 Type: MC Objective: CH 01: 21st Century Maternity Nursing Item Bank: Perry
Maternal Child Nursing Care 5th edition
When the nurse is unsure about how to perform a patient care procedure, the best action would beto:
A. Ask another nurse.
B. Discuss the procedure with the patient’s physician.
C. Look up the procedure in a nursing textbook.
* D. Consult the agency procedure manual and follow the guidelines for the procedure.
Correct Answer: D
Explanation/Rationale:
ANS: D
It is always best to follow the agency’s policies and procedures manual when seeking information on correct
patient procedures. These policies should reflect the current standards of care and state guidelines. Each
nurse is responsible for her own practice. Relying on another nurse may not always be safe practice. Each
nurse is obligated to follow the standards of care forsafe client care delivery. Physicians are responsible for
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